TUCSON, AZ 120 Derwood Circle Rockville, MD 20850 P (301) 294-1640 F (301) 294-0034 info@intergem.net Set-Up Hours**: Saturday, January 29 10am-8pm JAN. 30 – FEB. 7 2016 CLARION HOTEL INTERGEM.COM Show Hours: 10am-6pm Daily Load Out Hours: Sunday, February 7 - 6pm-Midnight 4550 S. Palo Verde Road, Tucson, AZ 85714 BOOTHS EXTRA SUPPLIES QTY 10’ Tables [ 4’____, 6’____, 8’____ ] 14’ Poles [ Uprights____, Bases____, Crossbars____ ] Showcases [ Halfview____, Fullview____ ] 20’ Pegboard [ Pegboard____ ] 30’ Additional Electricity [ 500 Watts ____ ] Goldsmith/Jewelry Repair (at booth) [ Initial ____ ] Applicant MUST initial if jewelry repair service will be provided at Applicant’s booth during the show. Requests: ____________________________________________________________________________________________ Requests are not final. Booth locations will be provided at the sole discretion of InterGem. If the requested booth is not available, a location that is available will be assigned to the Applicant unless otherwise noted by the Applicant. □ Corner Booth $50.00 (based on availability) *Not Guaranteed (additional) □ No Corner Booth Request Credit Card____________________________________________________ Expiration Date______________ CVV___________ (no charge) If the Applicant has a Renewable Deposit (RD) on file; the charge will be applied 4 weeks before the show. If the Applicant does not have a RD on file, the charge will be applied upon approval of contract. APPLICATION AND LICENSE AGREEMENT FOR CHANTILLY, VA THIS APPLICATION AND LICENSE AGREEMENT, by and between The “Original” Classic International Gem & Jewelry Show, Inc.® (“InterGem”) and ________________________ (“Applicant”), witnesseth that in consideration of the payment to InterGem by Applicant of the sum stipulated below, and the mutual covenants and conditions herein contained, the parties agree: 1. That InterGem will grant to Applicant and Applicant will occupy, a _________ foot Licensed Premise in the CLARION HOTEL in TUCSON, AZ at the InterGem show, which will be conducted from SATURDAY, JANUARY 30 – SUNDAY, FEBRUARY 7. 2. 2. The total rental shall be $_________ (consisting of your Licensed Premise, Equipment & Decorating Package, and minimum required Electrical Wattage) which shall be payable upon submission of this Application and License Agreement. 3. InterGem will provide the following to the Applicant within the above Licensed Premise amount: a. A Licensed Premise of the length specified in Paragraph 1 above, 6’ deep (or 7’ deep when regulations allow) with two chairs and tables. The number of tables provided are as set forth in parentheses following each Licensed Premise length: 10’ or 11’ (3-6’ and 1-4’); 14’ (4-6’ and 1-4’); 15’ (2-4’ and 1-6’ [*3 showcases across front take place of tables]); 20’ (3-8’ and 2- 6’). *For each showcase used, the number of tables allocated will be reduced by one 6’ table. An extra charge will be assessed for any additional tables and furniture supplied by InterGem. b. No other identification sign may be used, other than that supplied or approved by InterGem. c. Electrical outlets for power consumption at 120 volts, 60 cycles, single phase, alternating current, in the wattage set forth in parentheses following each Licensed Premise length: 10’/11’ (500 watts); 14’/15’ (750 watts); 20’ (1000 watts). Additional wattage may be furnished at Applicant’s expense; provided that arrangements are made with InterGem when submitting this Application and License Agreement. Provision of display lighting, extension cords and power strips are the sole responsibility of Applicant. All extension cords and power strips MUST BE 3-wire grounded cords. d. General area security, subject to the limitations of Paragraphs P and Q on the reverse hereof. 4. Any breach by Applicant of any Application and License Agreement term, including, but not limited to, terms regarding payment by Applicant, shall entitle InterGem to: (a) order Applicant to remove its property from the show premises; (b) retain, as liquidated damages for breach of License Agreement, all sums therefore paid by Applicant for participation in the show; (c) collect immediately any balance due InterGem; (d) cancel any other License Agreement(s) for Applicant’s participation in future shows without liability; and (e) collect any other damages and seek any other remedies that InterGem may be entitled to. 5. The Terms & Conditions on the reverse are specifically incorporated herein and constitute an essential part of this Application and License Agreement and are binding upon the parties. The individual signing on behalf of the Applicant, certifies that (s)he has read, in its entirety, this Application and License Agreement and accepts its terms and conditions. 6. The Licensed Premise includes a set decorating package including tables and coverings, 2 chairs, drape and signage [Please see the back of this contract for specific information on your requested booth size.] If you would like to rent additional equipment to that already provided, please complete the section above specifying the exact quantities needed. All showcases; pegboards; uprights, bases, crossbars; additional tables, electricity and chairs; MUST be ordered as part of this Application and License Agreement. 7. Cancellation of Pre-Ordered Booths and/or Extra Supplies: Applicant will not be entitled to any refund or allowance whatsoever and will be liable for the total pre-ordered booth and/or all extra supplies. IN WITNESS WHEREOF, the parties have individually or through their duly authorized representatives, agents or officers, caused this Application and License Agreement to be signed on ___________________, 20___. PRINT CLEARLY FOR BOOTH SIGN INFORMATION ____________________________________________________________________ (Applicant’s Complete Business Name) ____________________________________________________________________ (Applicant’s Address) ____________________________________________________________________ (Signature and Business Title) ____________________________________________________________________ (Applicant’s City, State and Zip Code) ____________________________________________________________________ (Print Name and Business Title) ____________________________________________________________________ (Applicant’s Telephone and Fax Numbers) Primary Type of Merchandise 1: ___________________________________ 2. ___________________________________ ____________________________________________________________________ (Applicant’s E-Mail Address) ____________________________________________________________________ FOR OFFICE USE ONLY: ACCEPTED AND AGREED (AZ Tax ID Number) _______________________________________________________________________________________________________________________________ By: Authorized Signature □ ACCEPTED _____________ (SIZE BOOTH) Date □ WAIT LIST IMPORTANT TAX INFORMATION:.
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